MEDICARE: MENTIS PSYCHIATRIC SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1821975558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENTIS PSYCHIATRIC SERVICES PLLC

Provider Business Mailing Address
First Line	:	3707 E SOUTHERN AVE STE 2028
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-6214
Country	:	US
Telephone Number	:	480-725-9002
Fax Number	:	480-393-8540

Provider Business Practice Location Address
First Line	:	3707 E SOUTHERN AVE STE 2028
Second Line	:	2028
City	:	MESA
State	:	AZ
Zip	:	85206-6214
Country	:	US
Telephone Number	:	480-725-9002
Fax Number	:	480-393-8540

Authorized Official
Title or Position	:	PMHNP-C
Name	:	DR. IVY KONADU ATTOBRA
Credential	:	DNP
Telephone Number	:	480-725-9002

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	03/14/2026

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